Best health care system in the world my fuckin ass!

[HiPointDem]

41. It's common to wait days to surgically clean, reset & close a compound fracture? I don't think so.

Open fractures remain one of the true orthopaedic emergencies. Current principles of treatment consist of splinting the fracture and administering antibiotics at the time of initial patient assessment, followed by expeditious transfer to the operating room for aggressive debridement, lavage, and stable fixation of the fracture, forty-eight hours of antibiotic prophylaxis after each procedure or debridement, and delayed closure of open wounds when appropriate. The desired outcome includes skeletal union with intact soft tissues and normal function.

http://www.rcsed.ac.uk/fellows/lvanrensburg/classification/commonfiles/open.htm


The surgical treatment of open fractures is generally thought to be a surgical emergency. Most surgeons attempt to bring their patients with open fractures to the operating room within 6–8 hours of the time of injury. This early intervention is thought to reduce the risk of infection and other complications [5]. The 6–8 hour rule is based on basic scientific information that suggests that contaminated wounds not treated within this time frame will have sustained enough bacterial multiplication to result in early infection [14].

https://www2.aofoundation.org/wps/portal/!ut/p/c0/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwN39yBTAyMvLwOLUA93I4MQE_2CbEdFAF3RnT4!/?segment=Calcaneus&bone=Foot&soloState=true&popupStyle=diagnosis&contentUrl=srg/popup/further_reading/PFxM2/42_9-11_Open_fx_initial_assess.jsp